A Stronger Focus

SEHA continues to make notable progress in our quest to provide customers and communities with world-class healthcare. The past four years have seen significant advances in the planning and execution of systems and infrastructure upgrades. We have also made strides in business planning, with the alignment of our strategic plan with the goals of Health Authority-Abu Dhabi and the Abu Dhabi Executive Council in looking ahead to where we wish to be in the next five years.

Our financial systems now allow us to collect revenue, and regulations permit us to do business with other insurers. Our governance structure is improved, our human resources practices have been revised, and we have introduced strong education and research initiatives to help strengthen our delivery of healthcare services over that longer term. Emiratization – a key SEHA focus – is accelerating, and we are adding additional resources to this effort to improve even further.

Our emphasis is now even more strongly focused on quality, patient safety, and process improvement leading to better patient outcomes. More and more SEHA facilities are achieving the Gold Standard of JCI Accreditation. We now have strong data collection mechanisms so we can better measure our performance at all levels of the organization. With good data we can compare ourselves to established benchmarks in organizations already labeled ‘world-class’. So how are we faring in outcomes management?

In many areas the answer is ‘very well’, but to fully achieve our mission we still need to improve across the board. That is what our mission is about: continuous quality improvement to recognized international standards. Consequently, in 2012 we will begin more detailed reporting on clinical quality issues and outcomes using evidence-based medicine (EBM) standards.

The concept of EBM came to the fore in the early 1990s and has become a major driving force for many national healthcare organizations. The term has been defined as “the integration of best research evidence with clinical expertise and patient values”.

EBM advocates the use of up-to-date ‘best’ scientific evidence from healthcare research as the basis for making medical decisions. The three main advantages are:
  • EBM offers the surest and most objective way to determine and maintain consistently high quality and safety standards in medical practice
  • EBM can help speed up the process of transferring clinical research findings into practice
  • EBM has the potential to reduce healthcare costs significantly

Some examples that show how SEHA is already on the right track with its application of EBM practice are:

AMI-1: Aspirin on arrival for acute myocardial infarction patient is at nearly 100% across the board for SEHA and at or above the USA benchmark.

HF-3: ACEI or ARB for LVSD is a treatment protocol for patients experiencing a certain kind of heart failure. Every SEHA location is near to or above the USA benchmark.

SCIP-VTE-2 VTE: A surgical benchmark called prophylaxis given within 24 hours pre/post-surgery. Every SEHA location is at or above the USA benchmark (see accompanying graphs).